MEDICARE: ADTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	0206008374	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	295749	OTHER		AMERIGROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	235085	OTHER	VA	BCBS

General Provider Information

NPI Number	:	1326086901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADTS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1070
Second Line	:	5037 HALIFAX ROAD
City	:	HALIFAX
State	:	VA
Zip	:	24558-3185
Country	:	US
Telephone Number	:	434-572-1682
Fax Number	:	434-572-1682

Provider Business Practice Location Address
First Line	:	8724 SUDLEY ROAD
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-4405
Country	:	US
Telephone Number	:	703-361-4211
Fax Number	:	703-361-0028

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SYDNEY A. FORTUNE
Credential	:
Telephone Number	:	703-361-4211

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	10/31/2008

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Directions to “ADTS, INC. ” Practice Location

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